The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

Skip to main content

Eccrine Hidrocystoma

A benign lesion arising from the sweat glands, presenting with clear transparent small cysts on the face and around the eyes.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Dermatoloji department. Book Appointment →

What is Eccrine Hidrocystoma?

Eccrine hidrocystoma is a benign cystic skin lesion that typically appears on the face and around the eyes, resulting from sweat retention due to blockage of eccrine sweat gland ducts. It is usually seen in women and middle age.

It has two forms: solitary (single) and multiple. The multiple form increases in number and size in hot and humid environments, while it may decrease in winter. Lesions are generally 1-3 mm in diameter, non-firm, and cystic in structure.

Diagnosis is based on clinical examination; biopsy may rarely be required for differential diagnosis. Differential diagnosis from apocrine hidrocystoma, milia, basal cell carcinoma, and syringoma is important.

Symptoms

Small transparent cysts on eyelids, cheeks, and forehead
Bluish-gray color tone
Smooth-surfaced lesions 1-3 mm in diameter
Increase in number and size in hot weather
Generally painless and not contagious
Cosmetic discomfort
Bilateral and symmetric distribution (multiple form)

Risk Factors

Female gender and middle age
Hot and humid climate
Excessive sweating and sweat gland blockage
Genetic predisposition (in some multiple forms)
High ambient heat exposure
Excessive sun exposure
Rare syndromes such as Goltz syndrome

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If lesions are numerous and progressing
  • If causing aesthetic concerns
  • When rapid growth, bleeding, or color changes occur
  • When biopsy may be needed for differential diagnosis
  • With lesions around the eyes causing visual restriction

Treatment Methods

01
Avoiding hot environments and staying cool
02
Electrodesiccation and curettage
03
Laser ablation (CO2, erbium)
04
Topical anticholinergics (glycopyrronium)
05
Botox (onabotulinum toxin A) injections
06
Surgical excision for solitary lesions

Which Department to Visit?

You can visit our Dermatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Dermatoloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Related Health Topics

Other articles from the same department you may want to explore.

Eczema (Atopic Dermatitis)

Dermatoloji

Atopic dermatitis is a chronic skin disease commonly seen especially in children, flaring with genetic predisposition and environmental triggers.

Psoriasis

Dermatoloji

Psoriasis is an autoimmune disease in which skin cells proliferate rapidly when the immune system mistakenly attacks the skin, leading to thick scaly lesions.

Acne

Dermatoloji

Acne is a skin disease resulting from clogging of hair follicles with oil and dead skin cells, commonly seen in adolescence but can occur at any age.

Rosacea

Dermatoloji

Rosacea is a chronic inflammatory facial skin disease characterized by recurrent flushing, persistent erythema, telangiectasia, and inflammatory papules and pustules. Phymatous change and ocular involvement may complicate advanced disease.

Urticaria (Hives)

Dermatoloji

Urticaria is a skin condition with sudden pink-red wheals and intense itching that may follow an acute or chronic course.

Skin Fungal Infections

Dermatoloji

Skin fungal infections are common, contagious skin diseases caused by dermatophytes and yeast fungi colonizing the upper layers of the skin.

Hair Loss (Alopecia)

Dermatoloji

Alopecia is a general term for hair loss that can be genetic, hormonal, autoimmune, or nutritional; early intervention can slow progression.

Vitiligo

Dermatoloji

Vitiligo is an acquired autoimmune disease in which CD8+ T cells destroy melanocytes, producing well-demarcated depigmented patches. Early, sustained treatment can induce repigmentation and prevent progression; psychosocial impact warrants holistic care.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.